Surgical Patient Positioning Guide

- Reverse Trendelenburg situation

This position is used for:

• Gallbladder and bile duct surgeries
• It allows the abdominal organs to shift downward, providing better access to the upper abdomen.
• Thyroidectomy (Thyroid Removal Surgery)
• Helps the patient breathe more easily and reduces blood supply to the surgical site.

Positioning Steps:

1. The patient lies supine (flat on their back) in a straight position.

2. Tilt the operating table so that the head is elevated higher than the legs.

Required Supplies for Gland Surgery:

• 2 Elbow supports
• Foot barrier
• Safety strap
• Thin pillow
• Lumbar support pillow
• Headrest pillow (small cushion)
• Padding under the knees or a pillow under the head

Steps:

1. Position and secure the patient on the operating table as described for the supine position.

• Use elbow supports to allow free arm movement.
• Place a pillow under the head.

2. Apply safety straps around the patient's legs and under the knees.

• If the patient is awake, explain the procedure to reduce anxiety.

3. Adjust the footboard at a 45-degree angle to the base of the operating table.

• Use additional padding if necessary.

4. Place a pillow under the lumbar curve for comfort.

5. Position a roll or small pillow under the knees.

6. Tilt the lower section of the operating table downward according to the surgeon’s needs.

7. For thyroidectomy (thyroid removal):

• Place a thin pillow under the shoulders.
• Position a pillow under the head, with an additional small cushion (headrest) for support.

8. Arms may be placed at the patient’s sides, secured with elbow supports.

• Use extra padding if needed for comfort and stability.